Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA083408 | NJ |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD450265 | PA |
NPI | 1083837108 |
---|---|
Provider Name | Samuel Scott Becker |
First Address | Plainsboro, NJ 08536-1915 |
Second Address | Plainsboro, NJ 08536-1915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 16/01/2020 |